| NPI | 1336124544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service (Licence: IN 20041942A) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IN 20011942A) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2023-04-17 |